| NPI | 1245382548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GEORGE RUFF President 651-690-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN LP 2190) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |